Tyler Nichols

NPI #1548984016 in Southport, Connecticut

Provider Information

NPI Number: 1548984016
Entity Type: Individual
Name: Tyler Nichols
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Sep 28, 2022
Last Updated: Sep 29, 2022

Practice Location

Address: 3530 POST RD STE 202
City: Southport
State: Connecticut
ZIP Code: 06890-1169
Phone: (203) 307-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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